CHRISTIAN G BURCH OD - Optometrist License in Illinois | # 047931406

CHRISTIAN G BURCH OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931406

License Status

CANCELLED

Business

N

First Name

CHRISTIAN

Middle

G

Last Name

BURCH

Suffix

OD

Business Name

CHRISTIAN G BURCH OD

Original Issue Date

08/25/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010